Fever, Haemolysis, and Thrombocytopenia in Pregnancy

Fever, haemolysis, and thrombocytopenia in pregnancy

A 44-year-old woman, 35 weeks pregnant with twins, was admitted with 7-day history of fever, weakness, and shortness of breath. Notably in the week before, the patient had been seen twice by her obstetrician and found to have a normal or low blood pressure along with the fever.

Look at the blood smear of the mother’s peripheral blood, what’s your favored diagnosis?

  1. Malaria
  2. HELLP syndrome
  3. Babesiosis
  4. Thrombotic thrombocytopenic purpura